ReviewRMD open2026
Understanding fibromyalgia beyond pain: emotional imbalance and the case for compassionate care.
Review in RMD open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
It is postulated that fibromyalgia reflects a neurobiologically rooted imbalance between overactivated threat systems and hyporesponsive soothing systems, shaped by adversity. Adverse childhood experiences leave epigenetic marks that sensitise pain and stress pathways. Emotions have measurable biological correlates-they modulate immune, neuroendocrine and inflammatory processes that sustain chronic pain. The patient-clinician relationship is a biologically active intervention, operating through placebo mechanisms, neural synchrony and vagal coregulation. Compassionate, validating clinical encounters can restore safeness and improve outcomes-not only in fibromyalgia but across a wide range of chronic pain conditions.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.